Age Requirements for Students Applying for Particular Programs/Grades: ë Pre-K: A child applying must be 3 years 6 months (This is subject to change as per the age of applicants every year) or more by 1st of October 2019 ë KG 1: A child applying must be 4 years 6 months (This is subject to change as per the age of applicants every year) or more by 1st of October 2019 ë Grades 1-12: In general the Registrar places students according to their birth date. ë At the KG2 level pre-academic concepts and skills in the areas of reading writing and mathematics are screened. All new applicants from Grade 1 to Grade 12 must sit for placement assessments in English, Math and Arabic. The assessments are set to meet the learning standards of the grade level immediately precedent to the one being applied to. In case the applicant does not meet the expected learning standards of the grade level (a score of 70% or more), another date is to be scheduled for reassessment (upon the Parent’s wish). All students entering GEMS National Schools are assessed before admission is granted. In Kindergarten this usually takes the form of a skilled based assessment. Application Process Priority acceptance placement Where there is a high demand for available seats, places will be offered in the following order of priority: 1. Staff children who are working at the school are priority students. 2. Students who have siblings attending the same school. 3. Students from other GEMS schools in Egypt. 4. Students from other GEMS schools globally. 51
Required Documents In order to make an application to a GEMS School, applicants must provide the following mandatory documents 1 • Original birth certificate computer generated (Egyptian Students). 2 • Copy of the student’s passport and a copy of the residence visa valid for not less than 6 months and not a touristic visa (non-Egyptian students). 3 • 8 recent passport sized photos of the student. 4 • Copy of mother and father’s ID (National Number) or copy of the passport for non-Egyptian parents. 5 • Copy of each parent 's qualifications, if they are not mentioned on the IDs’ 6 • Original academic report from the previous school for the last academic year 7 • Copy of the vaccination card (for Pre-k & KG applicants only). • When the applicant has become eligible: Transfer Request with the stamp of the following Education Directorates: -The one the applicant is transferring from 8 -The one the applicant is transferring to 52
~ For further information, please contact the registration & Admission Department. • Interested Families contact the Admissions office to set an appointment for initial 1 interview conducted by the registrar. • Interested families will be given full information about the school and the school 2 tour timings. • Complete vital information on the application forms. 3 4 • Submit all the required documents at this stage and pay the application fee 5 • The assessment and interview will be scheduled within the following available session. 6 • Decisions for eligibility will be made within a week following the assessment and family interview. • Offer letter will be sent to parents via email and they will receive an acceptance confirmation via a phone call by the admission office. If the child has been placed 7 on a waiting list, parents will receive a notification email and a phone call as well 8 • Parents must confirm their commitment and acceptance with a payment within 7 days of receiving the offer letter if there is an available place. 9 • The school fees and payment will be issued in advance of the school starting date Class and Teacher Assignment We believe strongly in the importance of well-balanced mixed groups – we want children to work within a heterogeneous group so that all benefit from the diversity of backgrounds, talent and thinking skills that makes GEMS National School a special place. It is important that each class is representative of the whole grade level and can be held accountable to the same academic standards. In order to create the optimal class environment, we consider the social, emotional, physical and academic needs of each child. To ensure well- balanced classes we also consider gender, nationality, new or returning family, and level of 53
English fluency and religion. Wherever possible we also look to place students where they will form positive relationships and friendships. Homeroom teachers, Head of Stage, School Psychologist, Learning Support teachers and the Elementary Leadership team work together to create balanced classes, taking into account the aforementioned considerations. Class lists will be communicated to parents on the first day of the academic year. Because our overriding aim is to create balanced groups of students who will work well together, we are not able to entertain requests for placements with specific teachers. We ask that you refrain from asking for a particular teacher so that we are not being asked to compromise the integrity of this process for any child. You can be confident that all the teachers on any grade level work and plan together and provide similar learning opportunities and experiences for students. Despite the fact that we will have done the best job we can, not everyone will think his or her placement is ideal. We have found that the best advice we can give you if your child expresses disappointment with his or her new class group is to acknowledge a child’s disappointment as genuine but to show your child that you have confidence in his or her social ability to live through the disappointment and to settle successfully in the new situation. Your child will be heavily influenced by your reaction! This is an opportunity for social growth and independence. Trust your child to grow and learn. Children are so open to new and different experiences, relationships and learning when we encourage and support them in their efforts. Change of Contact Details The School Registrar, the Reception and the School Nurse should always have current details of your address, email, telephone number and mobile number(s). The accuracy of this information is vital in the case of an emergency. We also request a phone number of a friend or a family member we can call if we cannot reach the parents. At the start of the school year we will send an Emergency Contact Sheet home with your child, please return this as soon as possible. If your details change, it is your responsibility to update parent profile/contact information at the school administration office. Withdrawing from School This must be done via Registrar. The school requires a minimum of two weeks’ notification of withdrawal. Parents are responsible for completing and returning a Student Clearance Form. In the event of outstanding books, fees or fines, the school will not release records nor issue a Transfer Certificate. 54
Transfer Certificates The Ministry of Education in Egypt requires that all students from KG1 onward submit a Transfer Certificate when they change schools. GEMS National Schools will be pleased to prepare a Transfer Certificate for all students who have completed the Withdrawal Process previously mentioned. Health, Safety & Security 55
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Campus Security A security officer is on duty on the school campus at all times. The officer is there to assist families on weekends and to make certain that academic buildings are properly locked during non-school hours. In case of an emergency, the security officers have access to a telephone. The highest and utmost care has been taken to ensure the complete safety of students, while in school and on the school bus. GEMS staff has attended Security Awareness Sessions, First Aid Training and Fire Emergency Training. In the event of an emergency, staff will act efficiently and diligently. GEMS National Schools safety and security policies are in place and used to guide students and staff on expected procedures, to ensure a uniform, orderly and timely response to emergencies should they arise. Our staff and students are all taught emergency procedures for building evacuation and relocation to a safer area of the school campus. Fire drills and lockdown drills are practiced throughout the year so students know the appropriate response in emergency scenarios. 60
Fire Alarm/Lock-Down Drills The buildings on the campus are fitted with a fire alarm system. Throughout the year, fire drills will take place in order to familiarize pupils with the procedures of emergency evacuation. ë When the alarm is sounded, students and visitors should leave the building immediately in an orderly fashion using the designated exit. ë After leaving the building, students and visitors should report to their designated assembly point for an attendance check. The assembly point for all students is at the front of the school. ë Emphasis is placed on remaining quiet and observing rules and directions during the fire drills. ë Lock down drills will also be practiced so that students are familiar with the term and the procedures of getting inside and under cover. ID Badges It is necessary that all parents and visitors wear school ID badges (That will be distributed by the school at the beginning of the school year) indicating that they have registered with school security. All faculty and staff are required to wear their named photo ID badges at all times while on campus, identifying them as authorized school personnel. While on school property, we encourage all parents to report any suspicious behavior or items to security. Visitors will have lanyards designating their status by color. Lost or stolen cards must be reported immediately. These colors are consistent across all schools in the GEMS network: 61
All visitors (including parents, non-GEMS National Schools students, and previous GEMS National Schools students) must check in with the front welcome desk/reception. Visitors are welcome to attend International Days, Sports Days, assemblies and other such events. Visitors are not allowed to attend classes. GEMS National Schools students are also issued with IDs that should be worn at all times. Driver and Nanny School ID Cards If your child/children are picked up from school by a driver or a nanny, they too must have their own ID cards. In order to receive an ID card you must: 1. Fill in the application form (available from reception) 2. Attach ID copy of the driver and/or nanny Should your driver or nanny not have the appropriate School ID badges, the school may refuse to release the student to them. Supervision of Students. We operate a daily attendance system for all GEMS National Schools students arriving or departing school between 8:00 am and 12:50 pm. ë Telephone calls and/or SMS messages will be sent home to confirm all absences – usually before10:00 am each morning. ë Students arriving after 8:00am must be walked to the Reception to be signed in by a parent. Parents must also sign students out for early dismissal. ë Please note that at this time, we do not provide supervision before 7.30 am in the morning and after 12.50 pm school in the afternoons. ë Frequent late pick-ups will result in the consequences. A parent or a responsible adult must actively supervise KG and Primary students when on the school campus outside regular school hours. When on campus, students are expected to follow school rules even after school and on weekends. They must be with an adult at all times. School Clinic Information ü A Registered and licensed doctors and nurses are on duty during school hours. The doctor provides health screenings; assesses and manages chronic and acute illness; administers medications; provides first aid for school-related injuries; promotes health and safety; maintains student medical records. The doctor is available to consult with parents as needed, regarding health concerns of students, either in person, by telephone or e-mail. 62
ü Students should inform their teachers if they are feeling unwell and they will be given “Sick Pass” which they need to show to the school nurse when arriving at the clinic. ü The doctor will take decisions whether to send a student home according to the diagnosis. ü If a student has special health needs (medication, chronic illness or condition, allergies, or requires special procedure or intervention), the parent is encouraged to schedule a time to meet with the school doctor to arrange for these needs to be taken care of during the student’s school day. All medications and treatments require clear, written instructions following a physician’s order, as needed, and a parent/guardian's signature. The school doctor will assist the parent by preparing a plan of care for their child and advising them as to what supplies the student will need at school. Emergency Contacts Parents are encouraged to keep the school and the clinic informed of current work, cellphone and home phone numbers, and any other means whereby they can be contacted during the school day should the need arise. When able, make sure your child knows how to reach you during the day. The Emergency Care Form will be utilized in many ways, from school trips and events, as a quick contact resource to get in touch with parents; for emergency personnel if the student is transferred to an emergency care facility; or to ensure that the parents/guardians have authorized emergency medical treatment. Forms Every year school health forms will be required for all students. They are: Health Information Form; Emergency Care Form; Medication Consent Form; School Screening Form. Parents of new students will be required to fill out an Immunization Record to complete their child’s personal Immunization Record. If your child is asthmatic or has a life- threatening allergy, or administer an inhaler, or Epi-pen to use a physician-signed form will be required. If your child has a short-term or chronic illness which requires any medical intervention/procedure during the school day, a Special Procedure Form will be required. (For example: blood glucose monitoring, dressing change, tube/catheter management, etc.) Medication Administration of medications, especially short term, should be done at home whenever possible. However, if a student is required to take prescription or non-prescription medication during the school day, the following guidelines must be met: 63
ë Physician, dentist, or practitioner prescribed medications should be clearly transcribed, and all medication forms should state the student’s name, the name of medication, the dosage, the time, the route (oral, inhaled, patch, etc.), and the duration of time that it is to be given (e.g., one week, the school year, etc.), along with the parent’s/guardian’s signature. Medication forms are available for your convenience in the school clinic. ë Medication must be in the original packaging from the pharmacy and not outdated. Over-the-counter medication to be held in the clinic must be in a sealed, unopened, new bottle. (For short time medication, ask a pharmacist for a separate bottle to be kept in the clinic, to prevent missed doses.) ë Parent/guardian must deliver medication to the school clinic, not the student. ë All medicine must be picked up by a parent at the end of the school year. ë If medication is to be hand-carried, a backup should also be kept in the school clinic. These situations require written health care plans, along with other specific details for care. When necessary, the nurse will accept verbal consent via phone to administer an over-the-counter medication (not prescription). Medication will be dispensed without written parental permission. Illness or Injury If you are contacted by the school to pick up your sick child, please make every effort to do so promptly. If your child visits the clinic and we recommend you follow-up, or be informed of an intervention, you will receive a written note from the clinic. You will also be informed if your child sustains a head or neck injury while at school. If the nurse requests follow-up by your doctor for illness or a school-sustained injury, you will receive a Medical Referral Form. This is a formal way to receive a specific diagnosis and treatment plan while your child is at school. Students with contagious infections need to stay home so they will not expose others. Please refer to Appendix A for a list of school exclusion conditions. If your child is home with a communicable illness, please contact the school doctor so the parent(s) of other classmates may be alerted of symptoms. 64
As a rule of thumb, your child should stay home for any of the following: A fever > 37.7 C (100 F); must be fever-free for 24 hours without fever medication Vomited more than once; feeling of nausea Diarrhea (return to school after 48 hours or 24 hours on medication) A frequent cough; productive cough Persistent pain (ear, stomach, etc.) A widespread rash; contagious rash or skin spots Head lice (Pediculosis) please notify the school nurse to be given proper instructions Bacterial Pink Eye/Conjunctivitis; awakens in the morning with thick or sticky eye drainage; eyelashes stuck; redness of the whites of the eyes throughout; can return to school after 24 hours of physician prescribed treatment Injuries that happen at home or over the weekend should be taken care of prior to returning to school, along with a physician’s note with instructions and limitations if needed. If your child has an out-patient procedure or surgery, you must provide a physician’s certificate stating when they can safely return to school and with any limitations/instructions. In all cases, the school doctor is the final arbiter and, if necessary in discussion with the principal, will signal when child is “safe” to return to school. Immunizations The Health Authority of Egypt promotes a successful immunization program and is free from vaccine-preventable diseases. Parents are required to submit applicable vaccination documents to the School Doctor (or registrar) for record purposes. Any parent, who wishes to discuss their child’s immunizations with the school doctor, is welcome to do so. 65
Health Screenings In accordance with the local health regulations, the clinic promotes the screenings which are recommended annually. This consent form is part of the annual school health forms, which is given out at the beginning of the school year. Please refer to that form with specific guidelines for your child’s grade. Helpful Reminders: Encourage your child to eat breakfast every day before school. Make sure your child gets 8 or more hours of sleep each night. Always send your child to school with a refillable water bottle. Encourage good hand-washing; before and after meals, after toileting, etc Please inform the school if your child has any allergies. Nuts are banned at GEMS National Schools, therefore any food brought in for sharing must be free of nuts/nut products. Please contact your school doctor, if you have any questions or concerns. By working together, we can ensure the health and well-being of your children so that they can gain the most from their experience at school. Buses A school bus service is available for all GEMS National Schools students who live in designated areas. Parents can register their child to use the bus or to speak to them regarding any issues they may have. A bus matron, in addition to the driver, is assigned to each bus to help manage students and support the driver. Students who use the school bus either regularly or as a guest at any time or on special occasions must observe the following rules: 66
● Students are expected to demonstrate respect for the driver, the bus matron and other passengers. ● Students must be seated with a buckled seatbelt at all times. ●Students are not permitted to shout or engage in horseplay (kind hands and feet) or use disrespectful language at any time on the bus (kind words). ● Students are expected to keep the buses tidy and not dispose of rubbish on the bus. ● Students are not permitted to eat or drink on the bus. Bus Code Violation Possible Consequences may include: 1st Offense 2nd Offense 3rd Offense Warning Detention Parent contact 3 days detention and letter Removed from bus for 10 school days Further Offenses 4th Offense Will be at the Principal’s 1 day in-school suspension discretion and may result in suspension or expulsion Parent conference and student will be removed from the school bus system Students may ride home with another child if there is enough room on the bus. Parents should check before noon with the Head of Transport to confirm that there is space. Both the driver and the classroom teacher must be notified in writing of any alteration to normal bus arrangements. Lost and Found Personal items found in the school are collected and kept in the school office. Parents are encouraged to label all items, especially uniforms, water bottles and lunch boxes and to check the Lost and Found area frequently. Unattended school books will be returned to the TRC/Library for processing. At the end of each Term, all uncollected lost and found items are donated to charity. 67
Telephones The telephones are for official use only. In the case of emergency, the Receptionist will call the student’s home. Complaints Procedure for Parents and Legal Guardians At GEMS National Schools we recognize the importance of regular interaction between faculty and parents so that support for student learning and development is consistent. In case the parents have a complaint with a teacher, the school will handle it in accordance with its procedure and feedback should be received within two working days. Informal Resolution It is hoped that most complaints and concerns will be resolved quickly and informally. If parents have a complaint or concern they should, in the first instance, contact their son’s/daughter’s HOS and/or PRE representative. In most cases, the matter will be resolved. If the HOS/parent cannot resolve the matter alone, it may be necessary for him/her to contact the Principal. Any complaint made directly to the Principal will normally be referred back to the relevant teacher unless the Principal deems it appropriate to deal with the matter personally. HOS and the Principal will keep anecdotal records of concerns and complaints on the date when they were received and reviewed. The Principal/HOS will document the outcome in a letter to the parent/guardian. Most complaints will be resolved informally. If this does not happen, parents will be advised that they may follow the formal procedure below. Formal Resolution If the complaint cannot be resolved on an informal basis, then the parents should submit their complaint in writing to the GEMS Executive Principal who will decide, after considering the complaint, the appropriate course of action to take. In most cases the EP will contact the parents concerned, normally within 3 days of receiving the complaint, to discuss the matter. If possible a resolution will be reached at this stage. The EP may need to carry out further investigations. The EP will keep written records of all meetings and interviews held in relation to the complaint. Once the EP is satisfied that, so far as is practicable, all of the relevant facts have been established, a decision will be made and parents will be informed of this decision in writing. The EP will also explain the decision. 68
GEMS National Schools Parent Contract At GEMS National Schools, we recognize that a successful partnership between school and home is one of the cornerstones to a child’s educational success. We would respectfully ask parents to support this partnership by completing and returning this Parent Contract to Reception. In order to best support my child’s learning, I will: ü Provide him or her with a quiet, orderly place to study ü Ensure my child is prepared for class ü Deliver my child to school on time every day ü Attend special activities sponsored by GEMS National Schools to build my understanding of learning outcomes and my capacity to support learning at home. ü Read all communications from the school: Emails, Class newsletters, School Website, Phoenix…etc. I have read and understood both the Parent Contract and the Community Handbook. Parent of: Grade: Name: Signature: 69
Appendix A Disease or Incubation SCHOOL EXCLUSION Exclusion of Contacts Condition Period TABLE Not excluded. Chicken Pox From two to Exclusion of Cases Not excluded. Conjunctivitis three weeks; usually 13-17 Exclude from school until Domiciliary contacts excluded Diptheria days. vesicles become dry, or 10 until investigated by medial days from appearance of rash officer and shown to be clear of Usually two infection. to five days. Until discharge from eyes has ceased. Until cultures are negative, until receipt of a medical certificate of recovery from infection. Giardiasis Usually one Until diarrhea ceases Not excluded. (diarrhea) to three weeks or Hepatitis A longer; or average seven Hepatitis B to ten days. Usually fifteen Exclude from school or work for Not excluded. to fifty days; one week after the onset of the average illness or jaundice. Until receipt twenty eight to of a medical certificate of thirty days. recovery from infection or on subsidence of symptoms. Usually sixty to Until recovered from acute attack Not excluded. ninety days; the range is forty five to one hundred eight days. 70
Impetigo (School Until sores have fully healed. The Not excluded. sores) child maybe allowed to return earlier provided that appropriate treatment has commenced, and that sores on exposed surfaces (such as scalp, face, hands or legs) are properly covered with occlusive dressings. Measles Approximately Until at least five days from the Non-immunized contacts must be appearance of rash, or until receipt of excluded for thirteen days from the first (Rubeolla) ten days, but varies medical certificate of recovery from day of appearance of rash in the last from seven to ten infection. case unless immunized within 72 hours Meningococcal days and maybe as of contact. Infection long as fourteen Until receipt of a medical certificate of Meningitis (Viral, days recovery from infection. Household contacts must be excluded Aseptic) until the rash from school or child care until they appears. have received appropriate chemotherapy for at Commonly three least 48 hours. to four days, but can vary from two to ten days. Varies with specific agent. Mumps Usually twelve to Exclusion from school, childcare or Not excluded. twenty five days; workplace until nine days after the Pediculosis commonly onset of swelling. Until fully recovered. (Headlice) eighteen days. Pertussis (Whooping Until appropriate treatment has Not excluded. commenced. cough) It is commonly Until two weeks after the onset of illness Household contacts must be Poliomyelitis / seven to ten days; and until receipt of a medical certificate excluded from attending a children's Acute Flaccid rarely more than of recovery from services centre for twenty one days fourteen days. infection. after last exposure to infection if the Paralysis (AFP) contacts have not previously had whooping cough or immunization against whooping cough. Usually seven to Exclude from schools and children's Not excluded. fourteen days; settings until at least fourteen days the range is three after onset of illness and until receipt to thirty five days of a medical certificate of recovery for paralytic cases. from infection. 71
Rubella (German Usually sixteen to eighteen days. Exclude from school for Not excluded. Measles) at least five days after Not excluded. Scabies Usually two to six weeks before onset of the rash itching occurs in Not excluded. Shigellosis a person not previously infected. Until appropriate (Diarrhea) If a person is reexposed, it is one treatment has to four days. commenced. Streptococcal infection From twelve Until diarrhea ceases. including Scarlet fever hours to four days (usually one to Trachoma three days); up to one week Tuberculosis Shigella dysenteriae. Typhoid Fevers Usually one to three days . Exclude from school and Not excluded. children's settings until a Paratyphoid medical certificate Fevers of recovery from infection has Hand Foot and been obtained. Mouth Disease Ringworm Until appropriate treatment has Not excluded. commenced. From infection to the primary Until receipt of a medical Not excluded. lesion or significant tuberculin certificate from a health reaction; about four to twelve officer of the Department Not excluded weeks. that child is not considered unless the to be infectious. medical cofficer of a health of Usually one to three weeks Until receipt of a medical Department (depending on certificate of recovery from considers the infective dose from three days infection. exclusion to be to three months). necessary. Usually one to ten days. Usually three to five days. Exclude until all blisters Not excluded. have dried up / no fever. 72
Bus Regulations I___________________ (Parent's Name) and ___________________ (Student's Name) Promise to abide by the following rules to ensure my child’s safety on the bus: ë Showing proper courtesy to the bus matron and driver. ë Student should be at the bus stop 5 minutes prior to the scheduled time. ë Students should be cautious while approaching and leaving the bus. ë Students should take a seat immediately upon entering the bus and will not move around. ë Students should maintain the cleanliness of the bus. ë Students must remain seated, out of the aisle, facing forward while the bus is in motion. ë Students should not eat, drink, chew gum or play music on the bus. ë Students should not foul or use inappropriate language at the bus at any time. ë Students should not Push, fight, play roughly or cause harm to oneself or other riders. ë Student should report any form of misbehavior by other students towards him/her. If no action is taken, the school administration should be notified. ë The rules will be strictly enforced to provide a safe environment on the bus. ë Parents are responsible for any damage or vandalism done to the bus by their children. ë Failing to abide by these rules may result in the discontinuation of the bus service. Disciplinary procedures: ë First Time: Verbal Warning. ë Second Time: Written Warning. ë Third Time: Bus Suspension up to 5 days according to the severity of the action done by the student. ë Fourth Time: Bus Dismissal. Parent's Signature ______________Student's Signature_____________ Date: ______________ 73
MEDICAL FORM -Student’s Full Name: _________________________Stage: ________ Class: _________ - Address: ____________________________________________________________ - Date of Birth: ____________________ Year of School entry: __________________ Emergency contact: Name: ______________________________________________________________________ Relationship:___________________________________________________________________ Landline Number : __________________________Mobile Number: _____________________ Does your child suffer from any of these Diseases? Type Yes No Diabetes Mellitus Asthma Epilepsy(seizures) Eye & Skin Allergy Food Allergy (G6PD) ()اﻧﯿﻤﯿﺎ اﻟﻔﻮل Heart disease o operations Others: _____________________________________________________________________ Is your child on regular medication? ________________________________________________________________________________________________ ______________________________________________ Parent’s Signature:_____________________ 74
Image and Name Usage Consent policy Occasionally, we may take photographs of the children in school and in the classroom or outdoor settings. We may use these images in our publicity materials, for example in the school’s prospectus or in other printed publications, as well as on our website and Facebook page. We may also make videos or webcam recordings for school-to-school conferences, monitoring or other educational use. From time to time, our school may be visited by the media, which will take photographs or film footage of a visiting dignitary or other high profile event. Students will often appear in these images, which may appear in local or national newspapers, websites or on televised News programs. We reserve the right to record your child's image and name for internal monitoring and progress assessment. We believe that photographs for school use, and those that appear in the press, are a source of pleasure and pride. We believe they can enhance self-esteem for children and young people as well as their families and so are to be welcomed. I do agree with the image and Name Usage consent policy Please Tick Yes No Parent’s Name: _______________________ Parent’s Signature: _____________________ Name: ________________________ Date: _________________________ 75
Updating Data 2019-2020 Please fill both forms: English and Arabic Student’s name: ______________________________________________ Grade: ___________________________ Class: A B C D E F G Please circle Siblings at school: 1_________________ 2 __________________ 3________________ 4___________________ Mother’s Details: Mother’s Name: ________________________________________________________________________________ Mother’s Landline Number: ____________________________________________________________________________ Mother’s Mobile No 1: _____________Mother’s Mobile No 2: ___________________ Mother’s e-mail address: ___________________________________________________________________ Address: ________________________________________________________________________________ Father’s Details: Father’s Name: _______________________________________________________________________________ Father’s Landline Number: _________________________________________________________________________ Father’s Mobile No 1: _____________________ Father’s Mobile No 2: _______________________ Father’s e-mail address: _________________________________________________________________________ Address: ________________________________________________________________________________ Family Details: Parental Marital Status: Married Separated Divorced If divorced, please hand in the official documentation of custody to the Students Affairs Office. Emergency Details: Emergency Contact Name: _________________________________Relation:__________________________ Address: ___________________________________________________________________ Tel 1: __________________________ Tel. 2: ____________________________ Mobile 1: _____________________ Mobile 2: _________________________ CONFIDENTIALITY: YOUR PERSONAL DETAILS ARE STRICTLY CONFIDENTIAL AND ARE FOR SCHOOL USE ONLY. WE WILL NEVER GIVE YOUR DETAILS TO ANY THIRD PARTY 76
ﻣﺪﯾﺮﯾﺔ اﻟﺘﺮﺑﯿﺔ و اﻟﺘﻌﻠﯿﻢ ﺑﺎﻟﻘﺎھﺮة إدارة اﻟﻘﺎھﺮة اﻟﺠﺪﯾﺪة اﻟﺘﻌﻠﯿﻤﯿﺔ ﻣﺪرﺳﺔ ﻣﺪﯾﻨﺘﻰ ﻟﻠﻐﺎت إﺳﺘﻤﺎرة ﺗﺤﺪﯾﺚ ﺑﯿﺎﻧﺎت ﻟﻠﻄﻠﺒﺔ اﻟﻤﻘﯿﺪﯾﻦ ﺑﺎﻟﻤﺪرﺳﺔ ﻟﻠﻌﺎم 2018/2017 ﯾﺮﺟﻰ ﻣﻠﺊ اﻻﺳﺘﻤﺎرة ﺑﺎﻻﻧﺠﻠﯿﺰﯾﺔ واﻟﻌﺮﺑﯿﺔ ﯾﺠﺐ ﻋﻠﻰ اﻟﻄﻠﺒﺔ اﻟﻤﺼﺮﯾﯿﻦ و اﻟﻌﺮب ﻣﻞء إﺳﺘﻤﺎرة ﺗﺤﺪﯾﺚ اﻟﺒﯿﺎﻧﺎت ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﯿﺔ إﺳﻢ اﻟﻄﺎﻟﺐ رﺑﺎﻋﯿًﺎ........................................................................................................................... / اﻟﺴﻨﺔ اﻟﺪراﺳﯿﺔ اﻟﻤﻘﯿﺪ ﻋﻠﯿﮭﺎ............................................................................. /اﻟﻔﺼﻞ.............................. رﻗﻢ اﻟﮭﺎﺗﻒ............................................ / إﺳﻢ اﻷم......................................................... / ﻣﺤﻞ اﻟﻌﻤﻞ............................................ / اﻟﻮظﯿﻔﺔ.......................................................... / رﻗﻢ ﺗﻠﯿﻔﻮن اﻟﻤﻨﺰل............................................... / ................................................. -2 رﻗﻢ اﻟﻤﺤﻤﻮل ................................................ -1 / اﻟﺒﺮﯾﺪ اﻹﻟﻜﺘﺮوﻧﻰ ﻟﻸب...................................................................................................................... / اﻟﻤﺪﯾﻨﺔ............................................. / ﻋﻨﻮان ﻣﺤﻞ اﻹﻗﺎﻣﺔ :اﻟﻤﺤﺎﻓﻈﺔ.............................../ اﻟﺸﺎرع............................................................................................................. / اﻟﺸﻘﺔ............................................... / اﻟﻌﻤﺎرة................................. / رﻗﻢ اﻟﮭﺎﺗﻒ............................................. / إﺳﻢ اﻷب......................................................... / ﻣﺤﻞ اﻟﻌﻤﻞ............................................. / اﻟﻮظﯿﻔﺔ......................................................... / رﻗﻢ ﺗﻠﯿﻔﻮن اﻟﻤﻨﺰل.............................................. / ................................................. -2 رﻗﻢ اﻟﻤﺤﻤﻮل............................................... -1 / اﻟﺒﺮﯾﺪ اﻹﻟﻜﺘﺮوﻧﻰ ﻟﻸم......................................................................................................................../ اﻟﻤﺪﯾﻨﺔ............................................. / ﻋﻨﻮان ﻣﺤﻞ اﻹﻗﺎﻣﺔ :اﻟﻤﺤﺎﻓﻈﺔ.............................../ اﻟﺸﺎرع............................................................................................................. / اﻟﺸﻘﺔ............................................... / اﻟﻌﻤﺎرة................................. / ﺑﯿﺎﻧﺎت ﺣﺎﻟﺔ اﻟﻄﻮارىء ):ﺗﺴﺘﺨﺪم ھﺬه اﻟﺒﯿﺎﻧﺎت ﻓﻰ ﺣﺎﻟﺔ ﻋﺪم اﺳﺘﻄﺎﻋﺔ اﻟﻤﺪرﺳﺔ اﻟﻮﺻﻮل اﻟﻰ وﻟﻰ اﻷﻣﺮ( اﻟﺼﻠﮫ ﺑﺎﻟﻄﺎﻟﺐ......................................../ اﻹﺳﻢ............................................................./ اﻟﻌﻨﻮان ........................................................................................................................................./ ................................................-2 رﻗﻢ اﻟﺘﻠﯿﻔﻮن ................................................-1 / ................................................-2 رﻗﻢ اﻟﻤﺤﻤﻮل................................................-1/ إﻗﺮار أﻗﺮ ﺑﺄن ﺟﻤﯿﻊ اﻟﺒﯿﺎﻧﺎت اﻟﻤﺪوﻧﺔ ﻋﺎﻟﯿﺔ ﺻﺤﯿﺤﺔ و ﺗﺤﺖ ﻣﺴﺌﻮﻟﯿﺘﻰ و أن ﺟﻤﯿﻊ اﻟﻤﺮاﺳﻼت و اﻟﺨﻄﺎﺑﺎت اﻟﻤﺮﺳﻠﺔ ﻣﻦ اﻟﻤﺪرﺳﺔ ﻋﻠﻰ اﻟﻌﻨﻮان اﻟﻤﺪون أﻋﻼه ﺻﺤﯿﺤﺔ و ﻣﻨﺘﺠﺔ ﻷﺛﺎرھﺎ اﻟﻘﺎﻧﻮﻧﯿﺔ. وأﻧﻨﻰ ﺳﻮف أﻗﻮم ﺑﺈﺧﻄﺎر اﻟﻤﺪرﺳﺔ ﻛﺘﺎﺑﯿًﺎ ﻋﻨﺪ ﺗﻐﯿﯿﺮ أى ﺑﯿﺎن ﻣﻦ اﻟﻤﺪون أﻋﻼه. اﻟﻤﻘﺮ ﺑﻤﺎ ﻓﯿﮫ اﻟﺘﻮﻗﯿﻊ............................../ اﻷﺳﻢ..................................../ اﻟﺘﺎرﯾﺦ............................ / وﻟﻰ أﻣﺮ اﻟﻄﺎﻟﺐ............................./ﺑﺎﻟﺼﻒ.........../ 77
Permission for students leaving alone I_______________________________________ (Parent’s Name), the parent of ________________________________________ (Student’s name) in Class/Grade _______________, give my consent to my son/daughter to leave the school premises by the end of the school day on his own. I agree that the school is totally irresponsible for my child after he/she leaves the school gate. Parent’s Name :___________________ Parent’s Signature :___________________ Parent’s ID Number: ___________________ Mobile Number: _____________________ 78
GEMS HS FORM 19 – INCIDENT NOTIFICATION AND INVESTIGATION اﻟﺘﺒﻠﯿﻎ واﻟﺘﺤﻘﯿﻖ ﻓﻲ واﻗﻌﺔ- ﻟﻠﺼﺤﺔ واﻟﺴﻼﻣﺔ ﺑﺠﯿﻤﺲ19 ﻧﻤﻮذج The following incident notification and investigation form must be completed and submitted to the health and safety department. The purpose is to analyse the incident and identify the root cause(s), leading to the implementation of corrective/preventative actions. ﻟﺘﺤﻠﯿﻞ ﺗﻠﻚ اﻟﺤﻮادث واﻟﻮﺻﻮل إﻟﻰ أﺳﺒﺎﺑﮭﺎ و ِﻣﻦ ﺛَ ّﻢ إﺗﺨﺎذ اﻹﺟﺮاءات،ﯾﺘﻢ ﻣﻞء ھﺬا ﻧﻤﻮذج ﻟﻠﺘﺒﻠﯿﻎ واﻟﺘﺤﻘﯿﻖ ﻓﻲ اﻟﺤﻮادث وﺗﻘﺪﯾﻤﮫ إﻟﻰ ﻗﺴﻢ اﻟﺼﺤﺔ واﻟﺴﻼﻣﺔ اﻟﻮﻗﺎﺋﯿﺔ اﻟﻼزﻣﺔ/اﻟﺘﺼﺤﯿﺤﯿﺔ SCHOOL DATE OF اﺳﻢ اﻟﻤﺪرﺳﺔ INVESTIGATION ﺗﺎرﯾﺦ اﻟﺘﺤﻘﯿﻖ INCIDENT DATE INCIDENT TIME ﺗﺎرﯾﺦ اﻟﺤﺎﺛﺔ وﻗﺖ اﻟﺤﺎدﺛﺔ PERSONS CONDUCTING THE INVESTIGATION أﺳﻤﺎء ﻣﻦ ﻗﺎﻣﻮا ﺑﺎﻟﺘﺤﻘﯿﻖ ﻓﻲ اﻟﺤﺎدﺛﺔ NAME OF INJURED PERSON أﺳﻢ اﻟﺸﺨﺺ اﻟﻤﺼﺎب NAME & DETAILS OF WITNESSES أﺳﻢ وﺗﻔﺎﺻﯿﻞ ﻋﻦ اﻟﺸﺎھﺪ ﻋﻠﻰ اﻟﺤﺎدﺛﺔ AGE / اﻟﺴﻦ TYPE OF PERSON INJURED RIVO/Phoenix INCIDENT ﺻﻔﺔ اﻟﺸﺨﺺ اﻟﻤﺼﺎب NO ﻓﻮﻧﯿﻜﺲ/رﻗﻢ اﻟﺤﺎدﺛﺔ ﻋﻠﻰ ﻧﻈﺎم اﻟﺮﯾﻔﻮ ☐ STUDENT/ طﺎﻟﺐ INCIDENT TYPE ☐ STAFF MEMBER/أﺣﺪ اﻟﻌﺎﻣﻠﯿﻦ ﻧﻮع اﻟﺤﺎدﺛﺔ ☐ ACCIDENT/وﻗﻮع ﺣﺎدث ☐ VISITOR/زاﺋﺮ ☐ CONTRACTOR/ﻣﻘﺎول INCIDENT SEVERITY INJURY TYPE ﻣﺪى ﺧﻄﻮرة اﻟﺤﺎدﺛﺔ ﻧﻮع اﻹﺻﺎﺑﺔ ☐ MINOR /ﺑﺴﯿﻄﺔ ☐ FRACTURES/ﻛﺴﺮ ☐ ILLNESS/ ﻣﺮض ☐ MAJOR /ﻛﺒﯿﺮة ☐ DISLOCATION /ﺧﻠﻊ ☐ NEAR MISS/ ﺧﻄﺮ ﻛﺎﻣﻦ ☐ SERIOUS /ﺷﺪﯾﺪه اﻟﺨﻄﻮرة ☐ CUTS/LACERATIONS ﺗﻤﺰق/ﻗﻄﻊ ☐ ENVIRONMENTAL INCIDENT/ ﺣﺎدﺛﺔ ﺑﯿﺌﯿﺔ ☐ BURNS/ﺣﺮوق ☐ SECURITY INCIDENT/ ﺣﺎدﺛﺔ أﻣﻨﯿﺔ ☐ SPRAIN /إﻟﺘﻮاء ☐ BRUISING/وﺟﻮد ﻛﺪﻣﺎت ☐ DROWNING/ﻏﺮق ☐ ELECTRIC SHOCK /ﺻﺪﻣﺔ ﻛﮭﺮﺑﺎﺋﯿﺔ ☐ LOSS OF CONSCIOUSNESSﻓﻘﺪان /اﻟﻮﻋﻲ ☐ FOOD BORNE ILLNESS 79
/ﺗﺴﻤﻢ ﻏﺬاﺋﻲ ☐ OTHER /أﺧﺮى PROVIDE A SUMMARY OF THE INCIDENT ﺑﺮﺟﺎء ﻛﺘﺎﺑﺔ ﺷﺮح ﻣﻠﺨﺺ ﻋﻦ اﻟﺤﺎدﺛﺔ PROVIDE A SUMMARY OF THE EVIDENCE WHICH WAS OBTAINED ﺑﺮﺟﺎء ﻛﺘﺎﺑﺔ ﻣﻠﺨﺺ ﻋﻦ اﻟﺪﻻﺋﻞ اﻟﺘﻲ ﺗﻢ اﻟﺤﺼﻮل ﻋﻠﯿﮭﺎ CAUSE OF THE INCIDENT – IDENTIFY THE UNSAFE ACTS/UNSAFE CONDITIONS/SYSTEM DEFICIENCIES – USE THE FISHBONE (CAUSE AND EFFECT) : ﺑﺮﺟﺎء ﺗﻮﺿﯿﺢ ﺳﺒﺐ اﻟﺤﺎدث ﻣﻦ ﺧﻼل اﻟﺘﺼﻨﯿﻒ اﻵﺗﻲ،ﺑﺎﺳﺘﺨﺪام ﻣﺨﻄﻂ ھﯿﻜﻞ اﻟﺴﻤﻜﺔ )اﻟﺴﺒﺐ واﻷﺛﺮ( ﻟﺘﺤﻠﯿﻞ اﻟﻤﺸﺎﻛﻞ UNSAFE ACTS UNSAFE CONDITIONS SYSTEM DEFICIENCIES ﺗﺼﺮف ﻏﯿﺮ آﻣﻦ ظﺮوف ﻏﯿﺮ آﻣﻨﺔ وﺟﻮد ﺧﻠﻞ ﻓﻲ اﻟﻨﻈﺎم ☐ PPE NOT WORN ☐ SPILLAGES ☐ LACK OF FORMAL PROCEDURE ﻋﺪم إرﺗﺪاء ﻣﻌﺪات اﻟﻮﻗﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ وﺟﻮد ﺗﺴﺮب ﻋﺪم وﺟﻮد إﺟﺮاء رﺳﻤﻲ ☐ IMPROPER WORK TECHNIQUE ☐DAMAGED FLOORING ☐ NO TRAINING ﺗﻄﺒﯿﻖ أﺳﻠﻮب ﻏﯿﺮ ﺳﻠﯿﻢ ﺑﺎﻟﻌﻤﻞ وﺟﻮد ﺗﻠﻒ ﻓﻲ اﻷرﺿﯿﺎت ﻋﺪم وﺟﻮد ﺗﺪرﯾﺐ ☐ HORSEPLAY/FOOLING ☐ IMPROPER STORAGE ☐ LACK OF PLANNING ﻣﺰاح/ﺿﻮﺿﺎء أﺳﻠﻮب ﺗﺨﺰﯾﻦ ﺧﺎطﻲء ﻋﺪم اﻟﺘﺨﻄﯿﻂ ☐ FAILURE TO FOLLOW PROCEDURE ☐ POOR HOUSEKEEPING ☐ NO RISK ASSESSMENT ﻋﺪم اﻟﻘﺪرة ﻋﻠﻰ إﺗﺒﺎع اﻹﺟﺮاءات اﻟﺴﻠﯿﻤﺔ ﻋﺪم ﻛﻔﺎءة ﻋﻤﺎﻟﺔ اﻟﻨﻈﺎﻓﺔ ﻋﺪم ﺗﻘﯿﯿﻢ اﻟﻤﺨﺎطﺮ ☐ FAILURE TO USE GAURDS ☐ DAMAGED EQUIPMENT ☐ LACK OF MAINTENANCE/PPM ﻋﺪم اﻟﻘﺪرة ﻋﻠﻰ اﻹﺳﺘﻌﺎﻧﺔ ﺑﺄﻓﺮاد ﺣﺮاﺳﺔ وﺟﻮد ﺗﻠﻒ ﺑﺎﻟﻤﻌﺪات ﻋﺪم وﺟﻮد ﺻﯿﺎﻧﺔ وﻗﺎﺋﯿﺔ ﻣﺨﻄﻄﺔ ☐ INCORRECT LIFTING ☐ EXCESSIVE NOISE ☐ UNSAFE DESIGN اﻟﺮﻓﻊ ﺑﻄﺮﯾﻘﺔ ﺧﺎطﺌﺔ وﺟﻮد ﺿﻮﺿﺎء ﺷﺪﯾﺪة ﺗﺼﻤﯿﻢ ﻏﯿﺮ آﻣﻦ ☐ OPERATING WITHOUT TRAINING ☐DEFFECTIVE TOOLS/EQUIPMENT ☐ PRESSURE/WORK DEMANDS اﻟﺘﺸﻐﯿﻞ ﺑﺪون ﺗﺪرﯾﺐ اﻟﻤﻌﺪات/وﺟﻮد ﻋﯿﺐ ﻓﻲ اﻷدوات ﺿﻐﻂ ﻋﻤﻞ ☐ OTHER (DESCRIBE) ☐ INADEQUATE LIGHTING ☐ POOR SUPERVISION (أﺧﺮى )ﺑﺮﺟﺎء اﻟﺘﻮﺿﯿﺢ وﺟﻮد إﺿﺎءة ﻏﯿﺮ ﻣﻨﺎﺳﺒﺔ ﺿﻌﻒ اﻟﺮﻗﺎﺑﺔ ☐ CONGESTED WORK AREA ☐ OTHER (DESCRIBE) إزدﺣﺎم ﻣﻨﻄﻘﺔ اﻟﻌﻤﻞ (أﺧﺮى )ﺑﺮﺟﺎء اﻟﺘﻮﺿﯿﺢ ☐ FIRE /إﺷﺘﻌﺎل ﺣﺮﯾﻖ ☐ OTHER (DESCRIBE) (أﺧﺮى )ﺑﺮﺟﺎء اﻟﺘﻮﺿﯿﺢ 80
LIST THE ROOT CAUSES ﺑﺮﺟﺎء ﻛﺘﺎﺑﺔ اﻷﺳﺒﺎب اﻷﺳﺎﺳﯿﺔ 4. 5. 1. 2. 3. CORRECTIVE ACTION PLAN – THE ROOT CAUSES & OTHER CAUSES MUST BE CORRECTED ﺧﻄﺔ اﻟﻌﻤﻞ اﻟﺘﺼﺤﯿﺤﯿﺔ OBSERVATION ACTION BY WHO TARGET DATE اﻟﻤﻼﺣﻈﺎت اﻹﺟﺮاء اﻟﻼزم ﺗﺎرﯾﺦ إﻧﺘﮭﺎء اﻟﻌﻤﻞ اﻟﻤﺴﺌﻮل ﻋﻦ اﻟﺘﻨﻔﯿﺬ SUBMITTED TO THE HSE DEPARTMENT ON ﺗﻢ ﺗﻘﺪﯾﻤﮫ ﻹدارة اﻟﺼﺤﺔ واﻟﺴﻼﻣﺔ وﺷﺌﻮن اﻟﺒﯿﺌﺔ ﻓﻲ SAFETY DEPARTMENT REVIEW & APPROVE BY ﻗﺎم ﺑﺎﻟﻤﺮاﺟﻌﺔ واﻟﻤﻮاﻓﻘﺔ ﻋﻠﯿﮫ ﻣﻦ داﺧﻞ اﻹدارة 81
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